Empowerment & Transformation, Inc. | |
189 Liberty St Ne Suite 202 Salem OR 97301-3682 | |
(503) 409-5086 | |
Not Available |
Full Name | Empowerment & Transformation, Inc. |
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Speciality | Marriage & Family Therapist |
Location | 189 Liberty St Ne, Salem, Oregon |
Authorized Official Name and Position | Mary Ann Fahlstrom (PRESIDENT) |
Authorized Official Contact | 5034095086 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Empowerment & Transformation, Inc. Po Box 2893 Salem OR 97308-2893 Ph: (503) 409-5086 | Empowerment & Transformation, Inc. 189 Liberty St Ne Suite 202 Salem OR 97301-3682 Ph: (503) 409-5086 |
NPI Number | 1326597808 |
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Provider Enumeration Date | 09/26/2016 |
Last Update Date | 09/26/2016 |
Identifier | Type | State | Issuer |
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1326597808 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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106H00000X | Marriage & Family Therapist | T0724 (Oregon) | Primary |
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